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AGE
(YEARS)
GIRLS
GIRLS
BOYS
BOYS
50TH
PERCENTILE
FOR HEIGHT
75TH
PERCENTILE
FOR HEIGHT
50TH
PERCENTILE
FOR HEIGHT
75TH
PERCENTILE
FOR HEIGHT
111/73
112/73
114/74
115/75
12
123/80
124/81
123/81
125/82
17
129/84
130/85
136/87
138/88
Reprinted from Update on the task force report on high blood pressure in children and adolescents. Bethesda, Md.: National
Institutes of Health, 1997. Publication no. 97-3790.
TABLE 5
Stress Test Exercise Thresholds Associated with Lower Risk of Sudden Cardiovascular
Events*
AGE (YEARS)
THRESHOLD
< 50
> 10 METS
50 to 59
> 9 METS
60 to 69
> 8 METS
> 70
> 7 METS
TABLE 2
COMMENTS
Blood pressure
Must be assessed in the context of participant's age, height and sex (see Table 3).
General
appearance
Measure for excessive height and observe for evidence of excessive long-bone
growth (arachnodactyly, arm span > height, pectus excavatum) that suggest
Marfan syndrome.
Eyes
Important to detect vision defects that leave one of the eyes with > 20/40 corrected
vision. Lens subluxations, severe myopia, retinal detachments and strabismus are
associated with Marfan syndrome.
Cardiovascular
Palpate the point of maximal impulse for increased intensity and displacement that
suggest hypertrophy and failure, respectively.
Perform auscultation with the patient supine and again with the patient standing or
straining during Valsalva's maneuver.
Respiratory
Observe for accessory muscle use or prolonged expiration and auscultate for
wheezing. Exercise-induced asthma will not produce manifestations on a resting
examination and requires exercise testing for diagnosis.
Abdominal
Genitourinary
Hernias and varicoceles do not usually preclude sports participation, but the sports
examination can also serve as an appropriate time to screen for testicular masses
if the athlete is not receiving regular general examinations.
Musculoskeletal
Skin